The Ellerslie School Student Information Form
Student
Please enter information for the student
Surname *
Firstname *
Date of Birth *
MM
/
DD
/
YYYY
Form *
Street Address *
Parish *
Parent/Guardian 1
Please enter information for the parent/ guardian with whom the child presently resides.
Surname 1 *
First Name 1 *
Relationship to student *
Street Address 1 *
Parish 1 *
Email address 1
Home number 1
Work number 1
Cell number 1
Parent/Guardian 2
Surname 2
First Name 2
Relationship to student
Clear selection
Street Address 2
Parish 2
Email address 2
Home number 2
Work number 2
Cell number 2
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